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A randomized controlled clinical trial of Olanzapine or Metoclopramide combined with 5-HT3 receptor antagonist and dexamethasone for the prevention and treatment of nausea and vomiting associated with chemotherapy including Cisplatin

A randomized controlled clinical trial of Olanzapine or Metoclopramide combined with 5-HT3 receptor antagonist and dexamethasone for the prevention and treatment of nausea and vomiting associated with chemotherapy including Cisplatin

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR1800015876
Enrollment
Unknown
Registered
2018-04-26
Start date
2018-05-01
Completion date
Unknown
Last updated
2018-04-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

malignant tumor

Interventions

metoclopramide group:metoclopramide
olanzapine combine with metoclopramide group:olanzapine combine with metoclopramide

Sponsors

Hunan Provincial People's Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1. Aged 18~65 years; 2. patients who plan to accept chemotherapy including Cisplatin; 3. Blood routine: white blood cell count (WBC)=4.0×10^9/L; Neutrophil count=2×109/L;platelet count=100×10^9/L; 4. Blood biochemistry: total bilirubin=25 umol/L; Alanine aminotransferase (ALT) and aspartate aminotransferase (AST)=100 u/L; Serum creatinine=132 umol/L; Creatinine clearance=60 mL/min; 5. No serious cognitive impairment; 6. No known history of central nervous system disease (for example, uncontrolled brain metastases, epilepsy, convulsions); 7. No history of psychosis (such as schizophrenia, bipolar affective disorder, and dementia); 8. No simultaneous intraperitoneal radiotherapy; 9. Anaphylaxis to olanzapine; 10. There is no uncontrolled history of diabetes; 11. Patients with no nausea and vomiting within 24 hours before the start of the trial; 12. No other antipsychotic drugs were used during the first 30 days of the trial or during the trial (for example, Ketone, quetiapine, clozapine, phenothiazine and butylbenzene); 13. No simultaneous use of quinolone antibiotics; 14. No chronic alcoholism; 15. The patient and / or family members know and agree to participate in this test and sign the informed consent; 16. Women of childbearing age must undergo a pregnancy test negative 7 days before the entry of the group. During the observation period and at the last stage, 8 weeks after olanzapine or metoclopramide, the appropriate method of contraception should be adopted. For men, surgical sterilization should be done, or the appropriate method of contraception should be applied in the observation period and within 8 weeks after the last time given olanzapine or metoclopramide.

Exclusion criteria

Exclusion criteria: 1. A severe and non controlled infection; 2. Women in pregnancy or lactation; 3. There are uncontrolled serious heart problems in the last 6 months, such as arrhythmia, heart failure, and acute myocardial infarction; 4. A persistent or uncontrollable systemic disease (such as an unstable or decompensated heart, liver, or kidney disease); 5. Untreated unstable brain or meningeal metastasis; 6. A known history of central nervous system disease (for example, uncontrolled brain metastases, epilepsy, convulsions); 7. History of narrow angle glaucoma; 8. Gastrointestinal bleeding, mechanical obstruction, or perforation; 9. Patients received aprepitant as part of its preventive antiemetic scheme; 10. Patients who have received cytotoxic chemotherapy in the last 5 years; 11. The QT interval of electrocardiogram is more than 480ms.

Design outcomes

Primary

MeasureTime frame
the remission rate of nausea and vomiting in acute stage;the remission rate of nausea and vomiting in delayed period;Total remission rate of nausea and vomiting;

Secondary

MeasureTime frame
Incidence of explosive vomiting;

Countries

China

Contacts

Public ContactHuaxin Duan

Hu'nan Provincial People's Hospital

317102912@qq.com+86 13347315509

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026